NPI | 1487969515 |
---|---|
Former Name | MARY R KEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2010-08-12 |
Last Update Date | 2012-09-20 |